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Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery.

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  • Author(s): Budak, Amanda R
  • Source:
    Medical University of South Carolina 2013; Ph.D. 104 p-104 p. (1p)
  • Publication Type:
    Doctoral Dissertation - research
  • Language:
    English
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      It is well established that gastric bypass surgery leads to significant and sustained weight loss. Identifying factors that lead to success in some and sub-optimal weight loss in others remain challenging. This course of study examines the relationship between models of addiction and substance abuse and compared them with models of addiction and compulsive overeating. It has been demonstrated that the similarities extend beyond behavior over consumption and compulsions but are also validated through neurochemical and neuroimaging studies.Craving has been implicated in relapse in patients undergoing treatment for substance of abuse. Craving is also a known antecedent to binge eating. Morbidly obese patients presenting for weight loss surgery often report binge eating behavior and some studies demonstrate that those behaviors persist after surgery. Given the incidence of weight regain post operatively, a significant area for research is identifying how to assess patients and identify those most at risk for weight regain. Following a model of addiction to substances of abuse---craving and binge eating is proposed to be predictive of weight loss success and is identified as an area of worthwhile study.A literature review was conducted on concepts of cravings and instruments that measure those concepts. Three instruments were identified that measure a construct of craving; The Yale Food Addiction Scale (YFAS), The Food Craving Questionnaire -- Trait (FCQ-T), and the Inventory of Binge Eating Situations (IBES). These instruments were selected in support of theoretical framework based on Tiffany's Cognitive Processing model. Based on this model, it was proposed that cravings should increase after a surgical intervention due to a forced abstinence. According to the model, when one abstains cravings are elicited. The goal of the study was to identify the magnitude of change in craving concepts pre and post gastric bypass surgery, as well as the relationship between scores and weight loss.A prospective study found a statistically significant decrease in scores pre and post-operatively and a positive correlation between scores on the IBES and post-operative weight. There was a statistically significant correlation in change in scores pre and post and FCQ-T. While this study did not demonstrate a strong correlation of the battery of instruments with weight loss, the study does lend to this field of research in identifying additional instruments that are reliable and valid in this patient population.
    • Special Interest:
      Nutrition; Perioperative Care
    • Instrumentation:
      Yale Food Addiction Scale (YFAS)
      Inventory of Binge Eating Situations (IBES)
      Food Craving Questionnaire--Trait (FCQ-T)
    • ISBN:
      9781303512926
    • Accession Number:
      UMI Order AAI3574584
    • Publication Date:
      20140214
    • Publication Date:
      20150923
    • Accession Number:
      109864123
  • Citations
    • ABNT:
      BUDAK, A. R. Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery. 2013. Ph.D. - Medical University of South Carolina, [s. l.], 2013. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123. Acesso em: 3 abr. 2020.
    • AMA:
      Budak AR. Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery. Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery. January 2013:104 p. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123. Accessed April 3, 2020.
    • APA:
      Budak, A. R. (2013). Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery [Ph.D., Medical University of South Carolina]. In Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery (p. 104 p).
    • Chicago/Turabian: Author-Date:
      Budak, Amanda R. 2013. “Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery.” Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery. Ph.D., Medical University of South Carolina. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123.
    • Harvard:
      Budak, A. R. (2013) Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery, Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery. Ph.D. Medical University of South Carolina. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123 (Accessed: 3 April 2020).
    • Harvard: Australian:
      Budak, AR 2013, ‘Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery’, Ph.D. thesis, Medical University of South Carolina, Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery, p. 104 p, viewed 3 April 2020, .
    • MLA:
      Budak, Amanda R. “Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery.” Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery, Medical University of South Carolina, Jan. 2013, p. 104 p. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123.
    • Chicago/Turabian: Humanities:
      Budak, Amanda R. “Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery.” Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery. Ph.D., Medical University of South Carolina, 2013. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123.
    • Vancouver/ICMJE:
      Budak AR. Assessing Eating Behaviors and Attitudes Towards Food to Determine Predictors of Weight Loss after Gastric Bypass Surgery [Internet] [Ph.D.]. Assessing Eating Behaviors & Attitudes Towards Food to Determine Predictors of Weight Loss After Gastric Bypass Surgery. Medical University of South Carolina; 2013 [cited 2020 Apr 3]. p. 104 p. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864123